How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $109.65 | Professional | None | $97.72 | $97.72 | $109.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $48.98 Typical High $54.95 | Professional | 52 · Reduced service | $48.98 | $48.98 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $22.39 | Professional | 53 · Discontinued | $19.95 | $19.95 | $22.39 |
Anthem BCBS Setting Facility Modifier None Typical Low $104.71 Median $114.82 Typical High $181.97 | Facility | None | $104.71 | $114.82 | $181.97 |
Anthem BCBS Setting Professional Modifier None Typical Low $83.18 Median $104.71 Typical High $131.83 | Professional | None | $83.18 | $104.71 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $169.82 Typical High $181.97 | Facility | None | $109.65 | $169.82 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $131.83 Typical High $512.86 | Professional | None | $109.65 | $131.83 | $512.86 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $269.15 Median $912.01 Typical High $2,137.96 | Facility | None | $269.15 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $100.00 Median $151.36 Typical High $194.98 | Professional | None | $100.00 | $151.36 | $194.98 |
United Setting Professional Modifier None Typical Low $97.72 Median $123.03 Typical High $194.98 | Professional | None | $97.72 | $123.03 | $194.98 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | GC · Resident with teaching physician | $107.15 | $107.15 | $107.15 |
Where Indiana sits
The same service costs 2.7 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Indiana· 45th of 51
$105
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.